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  • Title: [Anesthetic management of Nd-YAG laser surgery in the airway using a larengeal mask].
    Author: Yamaguchi S, Miyamoto H, Matsumoto T, Midorikawa Y, Kitajima T, Ogata H.
    Journal: Masui; 1995 Dec; 44(12):1685-8. PubMed ID: 8583667.
    Abstract:
    We used a laryngeal mask for Nd-YAG laser operations of airway stenosis due to tracheal granulation, broncheal granulation and subglottic tumor. Anesthesia was induced with inhalation of N2O-O2-sevoflurane in two cases and intravenous thiopental in one case. The laryngeal mask was inserted with intravenous injection of vecuronium. Anesthesia was maintained with N2O-O2-sevoflurane with intermittent positive pressure ventilation. Laryngeal mask airway was stable with respect to circulation and respiration during Nd-YAG laser irradiation. Ignition of a laryngeal mask caused by Nd-YAG laser is much less common compared to that of a tracheal tube with cuff. Therefore, we recommend to use laryngeal mask airway for Nd-YAG laser operation of airway stenosis because of much less danger of ignition and because it keeps good cardiovascular and respiratory conditions.
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